Degu Alemu, Nibret Gedefaye, Gebrehana Habtamu, Getie Adanech, Getnet Bekalu
College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Int J Womens Health. 2021 Jan 8;13:61-71. doi: 10.2147/IJWH.S285552. eCollection 2021.
The current emerging respiratory disease known as the novel Coronavirus 2019 (COVID-19) is now an international concern and a pandemic with non-availability of treatment. Due to altered physiology, weakened mechanical and immunological features pregnant mothers constitute a particularly suspectable segment of population in any infection pandemic. The goal of this study was to assess level of knowledge and attitude towards COVID-19 and determinants among pregnant mothers attending antenatal care (ANC) in Debre Tabor General Hospital Northwest Ethiopia.
An institutional-based cross-sectional study was performed from June 05 to 26, 2020. A total of 403 pregnant mothers participated and were selected by systematic random sampling. Data were collected via face-to-face interviewer-administered questionnaire. Data were entered using Epi-Data version 4.2 and analyzed by SPSS version 23. Bivariable and multivariable logistic regression analysis was performed and p-value <0.05 at 95% CI was considered as statistically significant.
Overall, 52.1% and 52.6% of participants had a good level of knowledge and positive attitude towardCOVID-19, respectively. Level of knowledge was significantly associated with participants' age (15-24 years) (AOR: 4.58; 95% CI: 1.721-12.201), educational status (AOR:7.78; 95% CI: 2.31-15.65) occupation (AOR:2.26; 95% CI: 1.23-4.15), and condition of pregnancy (AOR:4.55; 95% CI: 1.84-11.25). Whereas age (25-34 years) (AOR:2.61; 95% CI: 1.23-5.55), participants husband completed secondary education (AOR=2.75, 95% CI: 1.13-6.70) and college and above (AOR:3.77; 95% CI: 1.1.62-8.76), wanted pregnancy (AOR:2.70; 95% CI: 1.22-5.97) and knowledge (AOR:1.65; 95% CI: 1.06-2.572) were the significant predictors for attitude.
Findings show that almost half of the participants had a good level of knowledge and positive attitude towards COVID-19. Age, educational status, occupational status, condition of current pregnancy was positively associated with women level of awareness of COVID-19. Additional research is needed to see the impact of COVID-19 on pregnancy and feto-maternal effect.
当前新出现的被称为2019新型冠状病毒（COVID-19）的呼吸道疾病已成为国际关注的问题，且是一种尚无治疗方法的大流行病。由于生理变化、机械和免疫功能减弱，孕妇在任何感染大流行中都是特别易感的人群。本研究的目的是评估埃塞俄比亚西北部德布雷塔博尔综合医院接受产前护理（ANC）的孕妇对COVID-19的知识水平、态度及其决定因素。
于2020年6月5日至26日进行了一项基于机构的横断面研究。共有403名孕妇参与，通过系统随机抽样进行选择。数据通过面对面访谈式问卷收集。数据使用Epi-Data 4.2版本录入，并使用SPSS 23版本进行分析。进行了双变量和多变量逻辑回归分析，95%置信区间内p值<0.05被认为具有统计学意义。
总体而言，分别有52.1%和52.6%的参与者对COVID-19有良好的知识水平和积极态度。知识水平与参与者的年龄（15 - 24岁）（调整后比值比[AOR]：4.58；95%置信区间：1.721 - 12.201）、教育程度（AOR：7.78；95%置信区间：2.31 - 15.65）、职业（AOR：2.26；95%置信区间：1.23 - 4.15）以及妊娠状况（AOR：4.55；95%置信区间：1.84 - 11.25）显著相关。而年龄（25 - 34岁）（AOR：2.61；95%置信区间：1.23 - 5.55）、参与者丈夫完成中等教育（AOR = 2.75，95%置信区间：1.13 - 6.70）以及大专及以上学历（AOR：3.77；95%置信区间：1.162 - 8.76）、意愿妊娠（AOR：2.70；95%置信区间：1.22 - 5.97）和知识（AOR：1.65；95%置信区间：1.06 - 2.572）是态度的显著预测因素。
研究结果表明，几乎一半的参与者对COVID-19有良好的知识水平和积极态度。年龄、教育程度、职业状况、当前妊娠状况与女性对COVID-19的认知水平呈正相关。需要进一步研究以了解COVID-19对妊娠及母婴影响。
